Tracheostomy is a commonly performed intervention with several benefits in the treatment of patients with chronic respiratory failure. Percutaneous dilational tracheostomy techniques have allowed bedside tracheostomy placement in the modern intensive care unit. Percutaneous dilational tracheostomy can be safely performed by interventional pulmonologists, medical intensive care physicians, and s...

Objective. The purpose of this study was to review inpatients undergoing tracheostomies at a tertiary care pediatric hospital in a 24-month period and to identify the indications, comorbidities, hospital course, patient complexity, and predischarge planning for tracheostomy care. The goal was to analyze these factors to highlight potential areas for improvement. Study Design. Case series with c...

Tracheostomy is a common surgical procedure, and is increasingly performed in the intensive care unit (ICU) as opposed to the operating room. Procedural knowledge is essential and is therefore outlined in this review. We also review several high-quality studies comparing percutaneous dilational tracheostomy and open surgical tracheostomy. The percutaneous method has a comparable, if not superio...

I read with puzzlement the “Communication to the Editor” by Dean P. Sandifer, MD, FCCP,1 in regard to the article by Trottier et al,2 pertaining to percutaneous dilatational tracheostomy (PDT) using the PDT kit manufactured by Smith Industries (Keene, NH). Dr. Sandifer justifiably criticized the high rate of complications that occurred in the 24 PDT cases studied. But then Dr. Sandifer stated, ...

A TRACHEOSTOMY IS COMmonly performed when clinicians predict a patient will need prolonged mechanical ventilation. The use of this procedure has increased, especially following the introduction of a practical bedside percutaneous tracheostomy technique in 1985, such that up to onethird of patients requiring prolonged mechanical ventilation now receive a tracheostomy. The perceived advantages of...

OBJECTIVES/HYPOTHESIS To describe the reasons for hospitalization and characteristics of children with preexisting tracheostomy and to compare hospital utilization between children with and without tracheostomy. STUDY DESIGN Retrospective cohort study. METHODS Children with tracheostomy were selected in the Healthcare Cost and Utilization Project Kids' Inpatient Database 2009 using Internat...

Tracheostomy can lead to various complications, one of which is ectopic air in different compartments the body. Here, we present a rare case tracheostomy-induced air: combination subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum. This also presents literature review on some common mechanisms responsible for pneumomediastinum following tracheostomy mechanism pneumoperitoneum pneumo...

OBJECTIVE To compare the safety, availability, and long-term sequelae of percutaneous vs. surgical tracheostomy. DESIGN Prospective, randomized, controlled study. SETTING Combined medical/surgical intensive care unit in a tertiary referral hospital. PATIENTS Two hundred critically ill mechanically ventilated patients who required tracheostomy. INTERVENTIONS Tracheostomy by either percut...

Background: Tracheostomy is an alternative that widely used as airway access after the use of a ventilator in care critically ill patients. Several factors are known to influence outcome patients undergoing tracheostomy. This study aimed compare outcomes installed with mechanical ventilation performed early and late tracheostomy Dr. M Djamil General Hospital, Padang, Indonesia.
 Methods: w...

Tracheostomy is a common procedure used by a wide variety of surgeons. Complications after tracheostomy have been used as a rationale for prolonging a translaryngeal intubation. Understanding the pathogenesis of tracheostomy complications combined with meticulous surgical and perioperative management avoids the majority of complications. The remaining complications are readily managed and shoul...